Active NPI
Brian E Jaski, M.D.
- Advanced Heart Failure and Transplant Cardiology Physician
- San Diego, CA
National Provider Identifier
1194706242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Heart Failure and Transplant Cardiology Physician
- License
- G55011
- Practice address
- 3131 Berger Ave
San Diego, CA 92123-4233 - Phone
- (858) 244-6800
- Fax
- (858) 244-6909
- NPI assigned
- Nov 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G55011 | CA | |
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | G55011 | CA | Primary |
| Interventional Cardiology Physician | 207RI0011X | G55011 | CA |
Addresses
Primary practice location
3131 Berger Ave
San Diego, CA 92123-4233
Mailing address
3131 Berger Ave
San Diego, CA 92123-4233
Phone (858) 244-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G550110 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Advanced Heart Failure and Transplant Cardiology
- Education
- Harvard Medical School, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3131 Berger Ave
Suite 200
San Diego, CA 92123-4203
Phone (858) 244-6865
7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400
Hospital & facility affiliations
- Sharp Memorial Hospital
- Sharp Coronado Hospital and Hlthcr Ctr
- Grossmont Hospital
- Sharp Chula Vista Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.9 of 100
- Quality
- 70.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 64.03
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55011 | CA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Memorial Hospital | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- bjaski33445@sharphealthcare.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- Cardiovascular Disease Physician
- San Diego, CA
- NPI 1801980446
-
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
-
- General Acute Care Hospital
- Chula Vista, CA
- NPI 1396728630
-
- General Acute Care Hospital
- Coronado, CA
- NPI 1154304475
-
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1407839921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502928000000",
"number": "1194706242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 BERGER AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234233",
"telephone_number": "858-244-6800",
"fax_number": "858-244-6909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 BERGER AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234233",
"telephone_number": "858-244-6800",
"fax_number": "858-244-6909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASKI",
"first_name": "BRIAN",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2017-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G55011",
"primary": false
},
{
"code": "207RA0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
"state": "CA",
"license": "G55011",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CA",
"license": "G55011",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G550110",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.